# KIDS PULM PR LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740964287
- **Authorized official:** DR. CAROLINA MIRANDA TORRES MD (PRESIDENT)
- **Authorized official phone:** (787) 647-1439

## Contact information

- **Practice address:** 1845 BAYAMON MEDICAL PLAZA CARR \#2, SUITE 803, BAYAMON, PR 00959
- **Practice address phone:** (787) 474-8282
- **Mailing address:** PO BOX 192091, SAN JUAN, PR 00919-2091
- **Mailing address phone:** (787) 647-1439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0214X | Pediatric Pulmonology Physician | — | NULL | Yes |
| 2080P0214X | Pediatric Pulmonology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2023
- **Last updated:** 06/14/2023